Doctor Name: | DR. ELLEN LOUISE GURIAN |
NPI Number: | 1003936659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A31502 |
Business Practice Address: | 514 Kains Ave Albany, CA - 947061217 |
Business Phone Number: | 5105257876 |
Business Fax Number: | |
Mailing Address: | 514 Kains Ave, ALBANY |
State: | CA |
Postal Code: | 947061217 |
Phone Number: | 5105257876 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | A31502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |